IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0227149.html
   My bibliography  Save this article

Racism against Totonaco women in Veracruz: Intercultural competences for health professionals are necessary

Author

Listed:
  • Niels Michael Dörr
  • Gunther Dietz

Abstract

Racism is a neglected but relevant cause of health disparities within multi-ethnic societies. Different types of racism and other expressions of discrimination must be recognized, critically analyzed, and actively reverted. This paper is based on anthropological fieldwork conducted in three medical facilities in the indigenous region Sierra de Totonacapan in the highlands of Veracruz in Mexico and analyzes maternal health and identifies levels of racism as perceived by female indigenous patients. Applying a theoretical framework that defines racism at three levels, namely, institutionalized, personally mediated, and internalized racism. We empirically distinguish and acknowledge human rights omissions and violations and then analyze the sources of racism in close relation to an intersectional view on gender-, class-, and race-based forms of discrimination. Finally, in addition to investment in health goods and skilled birth attendants, we propose an intercultural competence approach to manage racism, among other ideologies. This approach targets health professionals as conscious, reflexive, and transformative actors of intercultural interactions with culturally diverse patients.

Suggested Citation

  • Niels Michael Dörr & Gunther Dietz, 2020. "Racism against Totonaco women in Veracruz: Intercultural competences for health professionals are necessary," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-19, January.
    • Handle: RePEc:plo:pone00:0227149
    DOI: 10.1371/journal.pone.0227149
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0227149
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0227149&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0227149?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Karlsen, S. & Nazroo, J.Y., 2002. "Relation between racial discrimination, social class, and health among ethnic minority groups," American Journal of Public Health, American Public Health Association, vol. 92(4), pages 624-631.
    2. Perreira, Krista M. & Telles, Edward E., 2014. "The color of health: Skin color, ethnoracial classification, and discrimination in the health of Latin Americans," Social Science & Medicine, Elsevier, vol. 116(C), pages 241-250.
    3. Jones, C.P., 2000. "Levels of racism: A theoretic framework and a gardener's tale," American Journal of Public Health, American Public Health Association, vol. 90(8), pages 1212-1215.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Irizar, Patricia & Kapadia, Dharmi & Amele, Sarah & Bécares, Laia & Divall, Pip & Katikireddi, Srinivasa Vittal & Kibuchi, Eliud & Kneale, Dylan & McCabe, Ronan & Nazroo, James & Nellums, Laura B. & T, 2023. "Pathways to ethnic inequalities in COVID-19 health outcomes in the United Kingdom: A systematic map," Social Science & Medicine, Elsevier, vol. 329(C).
    2. Johnston, David W. & Lordan, Grace, 2012. "Discrimination makes me sick! An examination of the discrimination–health relationship," Journal of Health Economics, Elsevier, vol. 31(1), pages 99-111.
    3. Lillian Mwanri & William Mude, 2021. "Alcohol, Other Drugs Use and Mental Health among African Migrant Youths in South Australia," IJERPH, MDPI, vol. 18(4), pages 1-13, February.
    4. Stephanie Pratt & Kyla Hagan-Haynes, 2023. "Applying a Health Equity Lens to Work-Related Motor Vehicle Safety in the United States," IJERPH, MDPI, vol. 20(20), pages 1-23, October.
    5. Layland, Eric K. & Maggs, Jennifer L. & Kipke, Michele D. & Bray, Bethany C., 2022. "Intersecting racism and homonegativism among sexual minority men of color: Latent class analysis of multidimensional stigma with subgroup differences in health and sociostructural burdens," Social Science & Medicine, Elsevier, vol. 293(C).
    6. McNeill, Lorna Haughton & Kreuter, Matthew W. & Subramanian, S.V., 2006. "Social Environment and Physical activity: A review of concepts and evidence," Social Science & Medicine, Elsevier, vol. 63(4), pages 1011-1022, August.
    7. Foorough Kavian & Kaye Mehta & Eileen Willis & Lillian Mwanri & Paul Ward & Sue Booth, 2020. "Migration, Stress and the Challenges of Accessing Food: An Exploratory Study of the Experience of Recent Afghan Women Refugees in Adelaide, Australia," IJERPH, MDPI, vol. 17(4), pages 1-16, February.
    8. Das, Abhery & Singh, Parvati & Kulkarni, Anju K. & Bruckner, Tim A., 2021. "Emergency Department visits for depression following police killings of unarmed African Americans," Social Science & Medicine, Elsevier, vol. 269(C).
    9. D. G. Webster & Semra A. Aytur & Mark Axelrod & Robyn S. Wilson & Joseph A. Hamm & Linda Sayed & Amber L. Pearson & Pedro Henrique C. Torres & Alero Akporiaye & Oran Young, 2022. "Learning from the Past: Pandemics and the Governance Treadmill," Sustainability, MDPI, vol. 14(6), pages 1-26, March.
    10. Dušan Drbohlav & Dagmar Dzúrová, 2017. "Social Hazards as Manifested Workplace Discrimination and Health (Vietnamese and Ukrainian Female and Male Migrants in Czechia)," IJERPH, MDPI, vol. 14(10), pages 1-16, October.
    11. Slaughter-Acey, Jaime C. & Brown, Tony N. & Keith, Verna M. & Dailey, Rhonda & Misra, Dawn P., 2020. "A tale of two generations: Maternal skin color and adverse birth outcomes in Black/African American women," Social Science & Medicine, Elsevier, vol. 265(C).
    12. Anuli Njoku & Marcelin Joseph & Rochelle Felix, 2021. "Changing the Narrative: Structural Barriers and Racial and Ethnic Inequities in COVID-19 Vaccination," IJERPH, MDPI, vol. 18(18), pages 1-14, September.
    13. Shervin Assari & Mohsen Bazargan, 2019. "Baseline Obesity Increases 25-Year Risk of Mortality due to Cerebrovascular Disease: Role of Race," IJERPH, MDPI, vol. 16(19), pages 1-15, October.
    14. Mindlis, Irina & Livert, David & Federman, Alex D. & Wisnivesky, Juan P. & Revenson, Tracey A., 2020. "Racial/ethnic concordance between patients and researchers as a predictor of study attrition," Social Science & Medicine, Elsevier, vol. 255(C).
    15. Nazan Ulusoy & Anja Schablon, 2020. "Discrimination in In-Patient Geriatric Care: A Qualitative Study on the Experiences of Employees with a Turkish Migration Background," IJERPH, MDPI, vol. 17(7), pages 1-14, March.
    16. Jeffrey Anvari-Clark & Theda Rose, 2023. "Financial Behavioral Health and Investment Risk Willingness: Implications for the Racial Wealth Gap," IJERPH, MDPI, vol. 20(10), pages 1-29, May.
    17. Glasgow, LaShawn & Clayton, Megan & Honeycutt, Amanda & Bayer, Erin M. & Plescia, Marcus & Holtgrave, Peter L. & Hacker, Karen, 2023. "Key insights on multisector community partnerships from real-world efforts to address social determinants of health," Evaluation and Program Planning, Elsevier, vol. 99(C).
    18. Stephanie L Prady & Kate E Pickett & Tim Croudace & Lesley Fairley & Karen Bloor & Simon Gilbody & Kathleen E Kiernan & John Wright, 2013. "Psychological Distress during Pregnancy in a Multi-Ethnic Community: Findings from the Born in Bradford Cohort Study," PLOS ONE, Public Library of Science, vol. 8(4), pages 1-11, April.
    19. Chambers, Brittany D. & Fontenot, Jazmin & McKenzie-Sampson, Safyer & Blebu, Bridgette E. & Edwards, Brittany N. & Hutchings, Nicole & Karasek, Deborah & Coleman-Phox, Kimberly & Curry, Venise C. & Ku, 2023. "“It was just one moment that I felt like I was being judged”: Pregnant and postpartum black Women's experiences of personal and group-based racism during the COVID-19 pandemic," Social Science & Medicine, Elsevier, vol. 322(C).
    20. Joohyun Justine Park & Ah-Hyun Angela Lee & Lynne Soon-Chean Park & Rebekah Jaung & Changzoo Song, 2024. "Korean Residents’ Experiences of Racism in Germany During the COVID-19 Pandemic: Association with Life Satisfaction and Sense of Belonging," Journal of International Migration and Integration, Springer, vol. 25(4), pages 2299-2320, December.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0227149. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.